Claim total
$7,328.17
base $127.17 · payer covered $7,278.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-03-01
- Stop
- 2019-03-01
The parties
- Patient
- patient Nida Lelah Jast
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
1243403a-c13d-57d0-413c-b56a255f4cee